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Contact Information

REBECCA ETLER
7532 BROOKLYN PARK BLVD
BROOKLYN PARK, MN55443
 Phone: 877-859-0542
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for REBECCA ETLER · (Female)

NPI Number 1821799701
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2023
Last updated 03/16/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • IA License # 127686
  • MN License # 15355
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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